Individual provider Active NPI

Julie Mahlstede, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orem, UT
National Provider Identifier
1801532288
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8636093-4405 Issued in UT
Practice address
1350 E 750 N
Orem, UT 84097-4345
Phone
(801) 852-2273
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8636093-4405 UT Primary

Addresses

Primary practice location

1350 E 750 N
Orem, UT 84097-4345

Mailing address

1546 N Arrow Park Dr
Payson, UT 84651-3092
Phone (435) 327-1802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721002626 UT Practitioner - Nurse Practitioner 3577944529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

735 S 200
Suite 1
Blanding, UT 84511-3923
Phone (435) 678-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8636093-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Mental Health-Substance Abuse Special Service District CurrentSince Oct 1, 2022 Accepting new patients
Uhs of Provo Canyon, Inc. CurrentSince Jun 9, 2022 Accepting new patients
Ascent Mental Health PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

735 S 200 W
Ste 1
Blanding, UT 84511
Phone (435) 678-2992

1350 E 750 N
Orem, UT 84097
Phone (801) 229-1036

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1801532288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 N ARROW PARK DR",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513092",
            "telephone_number": "435-327-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-852-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLSTEDE",
        "first_name": "JULIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "8636093-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.